Nutricia XMet Maxamum Powdered Medical Food

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• Directions for Preparation and Use:
  - Maxamum must be consumed in conjunction with natural protein, fluid and other nutrients in quantities prescribed by a physician or dietitian to meet protein and general nutrient requirements
  - The recommended intake of Maxamum will vary depending on the age, bodyweight and medical condition of the individual
  - Intake should be adjusted to maintain normal growth and development
  - For accuracy, Maxamum should be weighed on a gram scale
  - The daily intake of Maxamum should be divided into equal portions and distributed throughout the day
  - Maxamum is best served with meals
  - Make a paste of the prescribed amount of powder with a small volume of chilled water
  - Gradually add sufficient water to make the desired volume
  - It is recommended that Maxamum be prepared at a 1 to 7 dilution (e.g. 35gm (approximate 1/4 cup) of powder plus 245mL (approximate 8fl oz) of water) and advanced to a 1 to 5 dilution (e.g. 35gm (approximate 1/4 cup) of powder plus 175mL (approximate 6fl oz) of water)
  - These dilutions are guidelines only - Maxamum may be given in a more concentrated form (e.g. drink or paste)
  - If so, water or diluted drinks should be offered at the same time
  - For best taste, consume immediately
  - Larger volumes of prepared drink mix should be refrigerated and used within 24 hours or preparation
• Precaution:
  - Must only be consumed by individuals with proven hypermethioninemia and vitamin B6 non-responsive homocystinuria while under strict medical supervision
  - Not intended for children under nine years of age
  - Not suitable as a sole source of nutrition
  - Not for parenteral use
• Storage:
  - Store unopened can at room temperature
  - Do not store at extreme temperatures
  - Once opened, reseal can and store in a cool, dry place (not in refrigerator) and use within one month

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